MEDICARE: SHREWSBURY FAMILY CHIROPRACTIC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	2315	MA

General Provider Information

NPI Number	:	1285857524
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHREWSBURY FAMILY CHIROPRACTIC

Provider Business Mailing Address
First Line	:	555 MAIN ST
Second Line	:	SUITE 2
City	:	SHREWSBURY
State	:	MA
Zip	:	01545-2932
Country	:	US
Telephone Number	:	508-845-2778
Fax Number	:	508-845-9143

Provider Business Practice Location Address
First Line	:	555 MAIN ST
Second Line	:	SUITE 2
City	:	SHREWSBURY
State	:	MA
Zip	:	01545-2932
Country	:	US
Telephone Number	:	508-845-2778
Fax Number	:	508-845-9143

Authorized Official
Title or Position	:	OWNER
Name	:	DR. BRIAN J MAHER
Credential	:	D.C.
Telephone Number	:	508-845-2778

Provider Enumeration Date	:	04/11/2007
Last Update Date	:	08/22/2020

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